Chapter 36: I'll Take Responsibility
"How's the situation?" asked Chen Yizhen.
When the doctors saw Chen Yizhen coming, they did not relax in the slightest, and hurriedly said: "Dean Chen, you are finally here!" The patient's condition is not optimistic, and now the intracranial pressure has soared to 400 ......."
Meng Chuan couldn't help frowning when he heard this, the intracranial pressure of a normal person is only about 200, and once it reaches 500, his life will be in danger.
When the time comes, let alone surgery, the old lady's physical condition may die here directly.
Chen Yizhen briefly checked the old lady's symptoms, and a doctor next to him was also reporting to Chen Yizhen the solution they had discussed.
"Dean Chen, the patient is too old to have surgery, otherwise we will directly give her mannitol, glycerol fructose, furosemide, torsemide these drugs for dehydration and cranial pressure, supplemented by albumin infusion to increase the colloidal osmotic pressure in the blood vessels, to see if the patient's intracranial pressure can be lowered, and then consider the problem of internal bleeding......"
Before he finished speaking, he was interrupted by Meng Chuan, who was checking the MRI results on the side: "No." The patient's intracranial pressure has soared to such an extent that ordinary dehydrated antihypertensive drugs cannot solve the problem at all. Moreover, the patient's intracranial hemorrhage is severe, and the blood must be released, otherwise everything is empty talk. ”
The attending physician glanced at Meng Chuan, and saw that Meng Chuan was not from the First Hospital, so he was immediately unhappy, and patted the folder in his hand and said, "Who are you? How did you get in?
Meng Chuan frowned slightly, and said, "I just rejected your plan from a professional point of view, which is also a responsible performance for the patient, not a troublemaker." ”
The doctor snorted coldly and said, "From a professional point of view, what are you and what kind of specialty do you know? I am the attending physician of the Department of Neurosurgery of the First Hospital, and you tell me about your specialty?"
"What do you know about these things in medicine!? What I say is authoritative! The treatment plan just now is the most conservative and safest, do you understand? Forget it, I'm telling you that this is also playing the piano to the cow, now please go out!"
Chen Yizhen's face suddenly sank, and he scolded: "Shut up! This is Doctor Meng, you dare to be disrespectful to him?!"
"If he doesn't know medical skills, then I don't know anything about medical skills!"
"A few days ago, Old Man Wang came to see a doctor, and I was only 20% sure that I could save people, and Dr. Meng Shen's hand rejuvenated, and a few silver needles cured Old Wang, even if I was willing to bow down. ”
"And you dare to say that Doctor Meng doesn't understand medical skills, do you think that your medical skills are above Doctor Meng?!"
When the doctor heard this, he was immediately startled, looked at Meng Chuan a few times, and said, "This ...... You turned out to be Doctor Meng?! I was wrong just now, I saw that you were too young, and I thought you were ......."
"Okay, I don't have time to tell you this now!" Chen Yizhen glared at the man, "What Doctor Meng said is right, the patient's intracranial hemorrhage is the biggest problem, and blindly trying to reduce intracranial pressure is only a symptom but not a cure, so your plan is not feasible at all!"
"In the future, I will devote more time to studying medical skills, so as not to be self-righteous and make people laugh!"
After being reprimanded by Chen Yizhen, the doctor shrank back with a flushed face, not daring to speak.
Chen Yizhen read the examination reports of all the patients with Meng Chuan, and then asked Meng Chuan: "Xiao Meng, do you have any suitable medical treatment plan for this patient?"
Meng Chuan thought for a while and said, "The best plan is definitely to perform a craniotomy." However, the patient is too old and rushes to undergo surgery, and it is really possible that he will not be able to get off the operating table. Therefore, if the blood in the patient's skull is to be released with a glass catheter inserted through the foramen magnum of the occipital bone to release the intracranial blood. ”
When the other doctors heard this, they began to talk.
Although the foramen magnum can be inserted into a glass catheter to guide blood, the brain is the most important organ of the human body, and the slightest carelessness may cause death.
If it is a new medical device launched by the United States, it may be possible to accurately insert the glass catheter into the bruising area through nano-level technology. But the first hospital doesn't have such good equipment!
Sure enough, Chen Yizhen also shook his head and said, "Xiao Meng, your plan is theoretically feasible, but it is too difficult to do it." Even I can't guarantee success. ”
Meng Chuan thought for a moment and said, "Dean Chen, if you believe me, I can try." ”
"This ......" Chen Yizhen immediately hesitated when he heard this, "But if you fail, the patient will not ......."
"Is there a better medical plan now?" Meng Chuan asked rhetorically, "The patient's intracranial pressure continues to increase, but it won't last long." Now, even if you want to transfer to a hospital in the capital, you can't come. ”
"Rather than that, why don't you let me give it a try, what if it works?"
Chen Yizhen hesitated for a moment and asked, "Then how sure are you?"
"Eighty percent. Meng Chuan said such an answer like last time.
Chen Yizhen laughed when he heard it, shook his head and said, "It's really a talent from the country." Xiao Wang, go and prepare the glass catheter, let Xiao Meng prepare to do it!"
The rest of the people panicked when they heard that Dean Chen was going to let an outsider perform such a dangerous operation.
"Dean Chen, you can't let an outsider operate on a patient! If something happens, who is responsible?"
"Yes, dean, if it's someone else, forget it, this is Secretary Li's mother, if something really happens, Secretary Li gets angry, who of us can bear it?"
"If you want him to have surgery, you have to make it clear, if something happens, the responsibility is no longer on us!"
Chen Yizhen frowned when he heard this, and said, "Shut up! Responsibility and responsibility, are you here one by one to treat the sick and save people, or are you shirking responsibility!?"
"As long as I can save people, I am willing to take this responsibility!"
"Xiao Meng, you can do it! If you succeed, the credit is yours. If it fails, I'll take responsibility!"
As he spoke, Chen Yizhen straightened his waist, and he was suddenly a lot taller.
Meng Chuan sighed secretly in his heart, and said that Chen Yizhen was both medical and virtuous, and it was really the case when I saw it today. There are not many doctors like this who are dedicated to the sake of their patients.
So, Meng Chuan arched his hand and said: "Dean Chen is really a benevolent doctor. Rest assured, I will succeed in this operation!"
"It's good to have Xiao Meng, you just have this sentence! When it comes to surgery, you can do your best, don't have too much burden. Chen Yizhen smiled, "If I were twenty years younger, I would definitely have done this operation myself." But now, I know that the success rate of my hands is definitely not as high as yours, so I can only let you come. ”